RSV vaccine (preF, adjuvanted) injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Fac Arexvy Respiratory Syncytial Virus Vaccine Adjuvanted 60 Years and Older 120mcg/0.5ml

Payers reporting CPT 90679

Payer pricing summary

Low

$106

Average

$528

Median

$402

High

$2.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +24 other terms	383	$607	$610	$287	47%	—	$0 – $2.1k
2	Cigna fee schedule · outpatient · +17 other terms	220	$508	$937	$679	72%	—	$83 – $2.9k
3	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	171	$550	$688	$365	53%	—	$1 – $1.9k
4	Humana fee schedule · outpatient · +21 other terms	113	$302	$372	$210	56%	—	$36 – $1.1k
5	Aetna fee schedule · outpatient · +22 other terms	88	$315	$731	$933	128%	—	$10 – $8.4k
6	Anthem fee schedule · outpatient · +21 other terms	52	$323	$352	$189	54%	—	$34 – $1.4k
7	Molina facility · case rate · outpatient · +22 other terms	38	$20	$17	$6	37%	—	$6 – $36
8	Bcbs Tx fee schedule · outpatient	30	$942	$856	$286	33%	—	$350 – $1.5k
9	Caresource fee schedule · outpatient · +11 other terms	25	$312	$327	$21	6%	—	$312 – $360
10	Medcost percent of total billed charges · outpatientfrom % of charges · +6 other terms	21	$567	$751	$486	65%	—	$197 – $2.2k
11	Medica fee schedule · outpatient · +14 other terms	20	$395	$518	$214	41%	—	$0 – $756
12	Tricare facility · fee schedule · outpatient · +14 other terms	19	$315	$325	$40	12%	—	$308 – $490
13	Aetna Better Health fee schedule · outpatient · +9 other terms	17	$294	$301	$15	5%	—	$291 – $329
14	Wellmark fee schedule · outpatient · +17 other terms	16	$294	$294	—	—	—	$294 – $294
15	Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms	15	$793	$883	$353	40%	—	$535 – $1.8k
16	Carefirst facility · fee schedule · both · +6 other terms	15	$306	$309	$8	2%	—	$306 – $331
17	Excellus facility · fee schedule · both · +9 other terms	15	$306	$312	$8	3%	—	$306 – $331
18	Highmark facility · fee schedule · both · +12 other terms	15	$306	$310	$8	2%	—	$306 – $331
19	Premera facility · fee schedule · both · +7 other terms	15	$306	$309	$7	2%	—	$306 – $331
20	Regence facility · fee schedule · both · +9 other terms	15	$306	$309	$7	2%	—	$306 – $331
21	Optum facility · case rate · outpatient · +10 other terms	13	$9	$11	$4	34%	—	$8 – $18
22	Bcbs Nj fee schedule · outpatient	12	$327	$325	$18	5%	—	$293 – $335
23	Devoted facility · fee schedule · outpatient · +3 other terms	12	$1.0k	$2.5k	$5.3k	208%	—	$578 – $20k
24	Bcbs Nc fee schedule · both · +3 other terms	11	$390	$402	$47	12%	—	$341 – $439
25	First Health professional · fee schedule · both · +16 other terms	10	$142	$193	$208	108%	—	$1 – $609

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